Tina S Graham in Bowling Green - Family

Tina S Graham - NPI 1548374879

Tina S Graham is a Family in Bowling Green, Kentucky. Tina S Graham practices all healthcare services and medical treatments related to Family. The NPI Number for Tina S Graham is 1548374879. The last update date is 2014-04-02.

Tina S Graham's current location address is Po Box 90039, Bowling Green, Kentucky. You can contact this provider via phone number 2707968800 and fax number 2707969328. The mailing address for Tina S Graham is Po Box 90039, Bowling Green, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina S Graham
Address Po Box 90039, Bowling Green, Kentucky
Phone Number 2707968800
Fax Number 2707969328
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1548374879
Provider Enumeration Date 2006-08-17
Last Updated Date 2014-04-02

Provider Mailing Address Detail

Address Po Box 90039
City Bowling Green
State Kentucky (KY)
Post Code 421029039
Phone Number 2707968800
Fax Number 2707969328

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 3863P
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
278632 ANTHEM
78009776 KY --

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FAQs about Tina S Graham

What is the unique 10-digit identification code assigned to Tina S Graham by the Centers for Medicare & Medicaid Services?

The Tina S Graham has been issued the NPI (National Provider Identifier) 1548374879, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Tina S Graham is located?

The Tina S Graham is situated at the following address: Po Box 90039, Bowling Green, KY, 421029039.

What is the Tina S Graham's area of specialization and corresponding taxonomy classification?

The Tina S Graham's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548374879 to Tina S Graham?

The Centers for Medicare & Medicaid Services originally issued the 1548374879 to Tina S Graham on 2006-08-17.

As of what date was the information regarding Tina S Graham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tina S Graham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-02.

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